When natural isn’t healthy and reduced sodium is a hoax

From “natural” to “non-GMO,” food labels can make almost any item in the grocery store appear good for you. But we know that most processed foods are far from healthy. (As you know, that’s exactly why I created Step One products in the first place!)

If you’re confused in the grocery store aisles, here’s my guide to exactly what all the labels mean.

But before we start, know that not all labels are equal. Different entities regulate different labels. And some terms are regulated and restricted; others aren’t.

We’ll start with the worst culprits and work our way up…

6. NATURAL

Companies love to slap this label on everything since there’s no official entity regulating it. Plus, there are plenty of ingredients that are “natural” but aren’t healthy or even advisable to consume. For example, arsenic is natural. And so is sugar. This means that a box of Fruit Loops could use the term “natural” somewhere on its box (sugar is the first ingredient, and that’s natural!) and get away with it.

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5. REDUCED SODIUM

This one is regulated by the Food and Drug Administration, so at least there’s some meaning behind the labels. Here’s the FDA’s guide:

What It SaysWhat It Means
Salt/Sodium-FreeLess than 5 mg of sodium per serving
Very Low Sodium35 mg of sodium or less per serving
Low Sodium140 mg of sodium or less per serving
Reduced SodiumAt least 25% less sodium than the regular product
Light in Sodium or Lightly SaltedAt least 50% less sodium than the regular product
No-Salt-Added or UnsaltedNo salt is added during processing – but these products may not be salt/sodium-free unless stated

The main problem here is that the “reduced” and “light” labels are effectively meaningless since the original product could be so high in sodium that a 25 percent or 50 percent reduction can still leave you eating something loaded with salt.  Also, note that these SIX labels are very similar. Does the FDA really expect consumers to remember the difference between “reduced sodium” and “low sodium”?

4. AHA HEART-CHECK

The American Heart Association claims that its stamp “makes it easy to spot heart-healthy foods in the grocery store or when dining out.”

However, its heart symbol appears on products that the Association itself has deemed unhealthy, such as processed meats. So how does a food get a stamp? The approved food does need to meet some nutrition benchmarks but ultimately it just needs to pay a fee to the AHA — as much as $6,000 per unique food item per year.

3. WHOLE GRAIN

The FDA has not updated its draft guidance on using the term “whole grain” since 2006.

Slightly more helpful are labels from the Whole Grain Council. But it’s still confusing because there are different categories with similar stamps. Look for the one that says 100 percent: That means all the grains are whole grains. Any other labels may mean that up to half of the grains are refined. (And keep in mind that corn counts as a whole grain!)

2. ORGANIC

In this case, it’s not the FDA that regulates the labels, it’s the USDA. (Confused yet?) The good news is that there are two main seals that actually mean something. A 100% USDA Organic label signals that all of the ingredients in the product are certified organic. A USDA Organic label means that 95 percent of the ingredients are certified organic.

But foods that include some organic ingredients can prominently call that out on the front of the package even though the entire product is not 100 or even 95% organic. So, look for the round green Organic seal to make sure what you’re buying is truly organic certified.

And keep in mind that, like the term “natural,” “organic” does not equal healthy! An organic lollipop is just as sugary as a mainstream sucker (and sometimes more).

And, the winners?

1. GLUTEN-FREE and NON-GMO

The FDA has a tightly defined definition of “gluten-free,” and every product using those words must comply with it. However, it did not issue a uniform seal or symbol, so labels may vary from product to product.

The now-familiar label issued by The Non-GMO Project uses a third-party verification system for companies to get the seal. Consumer Reports found the label to be “highly meaningful” to avoid genetically modified ingredients. Whether or not that means the products are healthy is not guaranteed.  After all, Rice Krispies squares carry the non-GMO seal of approval.

In fact, NONE of these labels guarantees that what you’re eating is good for you. Tortilla chips can be gluten-free, organic, non-GMO, whole grain, natural, reduced-sodium and even meet criteria for AHA’s Heart-Check. But they’re still just tortilla chips.

Related: 7 food additives to always avoid

The absence of meaning to many of these labels is why we at Step One avoid using them. For the qualities that are important to many of our customers (gluten-free, non-GMO, low sodium, dairy-free) we point them out — but that’s not what makes our products special or healthy.  What makes Step One products special and healthy is the clinically meaningful levels of whole food fiber, omega 3 fatty acids, plant sterols, and antioxidants. And the fact that we’ve proven our foods work to help lower cholesterol in a pharmaceutical-level clinical trial.

Want a simpler trip to the grocery store?  Shop the perimeter for apples, broccoli, sweet potatoes, spinach, pears, beans, nuts… and skip the foods with labels. Paradoxically, many of the healthiest items you’ll find in a grocery store are the ones with no labels at all.

Dr. Elizabeth Klodas MD, FACC

By Dr. Elizabeth Klodas MD, FACC

"Diet is a major driver of high cholesterol, but instead of changing the food, we prescribe medications. This never seemed logical to me.” Dr. Klodas has dedicated her career to preventive cardiology. Trained at Mayo Clinic and Johns Hopkins, she is the founder and Chief Medical Officer for Step One Foods. Dr. Klodas is a nationally sought out speaker and has an active role at the American College of Cardiology. Her clinical interests include prevention of heart disease and non-invasive cardiac imaging and she has published dozens of scientific articles throughout her career. Dr. Klodas has been featured on CNN Health for her mission to change how heart disease is treated. An independent study performed at leading medical institutions affirmed the ability of Step One Foods to deliver measurable and meaningful cholesterol-reduction benefits in the real world. The results of the trial were presented at the 2018 American Heart Association’s Scientific Sessions. Dr. Klodas has also authored a book for patients, "Slay the Giant: The Power of Prevention in Defeating Heart Disease," and served as founding Editor-in-Chief of the patient education effort of the American College of Cardiology. In addition to her practice and her duties at Step One Foods, she also serves as medical editor for webMD.

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